Individual
NANCY LYNN MENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3657 BAPTIST PARK ROAD, MAPAVILLE, MO 63065
(636) 931-0080
Mailing address
PO BOX 147, HEMATITE, MO 63047-0147
(314) 223-9314
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
046174
MO
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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